I know it is never good to strain when you can't go to the bathroom. In my case, not only is it ineffective, but it causes sickening nausea (almost to the point of vomiting) and chest pain.However, I must resort to literally "pushing" things through with my fist. I often use a tight fist and punch my abdomen from my right-hand side to my left, then from the middle down. Sometimes, I actally punch near my backbone!This does not ever cause abdominal pain, although it does use up a good bit of my strength and energy. It actually makes my fist more sore than my abdomen. That just shows how dead all my nerves are down there. It's just a hard, bloated mass that feels like it could dodge a bullet.Anyway, can someone tell me if this is bad? It doesn't hurt (other than wearing out my strength), but it is the ONLY way I can ever expel gas or go to the bathroom.